Document Detail


Immunophenotypic analysis of anaplastic large cell lymphoma by flow cytometry.
MedLine Citation:
PMID:  12579990     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We studied the antigen expression profiles of 19 anaplastic large cell lymphoma (ALCL) cases by multiparameter flow cytometry. The neoplastic cells expressed CD45, HLA-DR, and CD30 in all cases. At least 1 T cell-associated antigen was expressed in each case (CD2, 12/17 [71%]; CD4, 12/19 [63%]; CD3, 6/19 [32%]; CD7, 6/19 [32%]; CD5, 5/19 [26%]; CD8, 4/19 [21%]). CD25 was expressed in 14 (88%) of 16 cases. CD13 was expressed unexpectedly in 8 (47%) of 17 cases. One CD13+ ALCL also was positive for CD33 and 2 others for CD15, CD19, CD20, CD22, CD14, and CD36 were not expressed. Anaplastic lymphoma kinase protein was detected in about 33% (3/9) of ALCLs examined by flow cytometric immunophenotyping (FCI); expression was validated by immunohistochemical analysis. Of 19 ALCL cases, 12 were diagnosed solely based on FCI findings in conjunction with morphologic evaluation of body fluid (1 case), fine-needle aspirate (3 cases), or excisional biopsy specimen (8 cases). The diagnoses of the remaining 7 cases were suggested strongly by FCI and confirmed by immunohistochemical analysis. FCI is useful to aid in diagnosis of ALCL, particularly along with fine-needle aspiration evaluation. ALCL with aberrant expression of myeloid antigens should not be mistaken for extramedullary myeloid tumor.
Authors:
Jonathan Juco; Jeannine T Holden; Karen P Mann; Lloyd G Kelley; Shiyong Li
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of clinical pathology     Volume:  119     ISSN:  0002-9173     ISO Abbreviation:  Am. J. Clin. Pathol.     Publication Date:  2003 Feb 
Date Detail:
Created Date:  2003-02-12     Completed Date:  2003-02-26     Revised Date:  2011-06-08    
Medline Journal Info:
Nlm Unique ID:  0370470     Medline TA:  Am J Clin Pathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  205-12     Citation Subset:  AIM; IM    
Affiliation:
Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Emory University Hospital, Room F143D, 1364 Clifton Rd NE, Atlanta, GA 30322, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Antigens, Neoplasm / immunology,  metabolism
Biopsy, Needle
Child
Child, Preschool
Chromosome Banding
Female
Flow Cytometry* / methods
Humans
Immunohistochemistry
Immunophenotyping*
Lymph Nodes / immunology,  metabolism,  pathology
Lymphoma, Large-Cell, Anaplastic / immunology*,  metabolism,  pathology*
Male
Middle Aged
Protein-Tyrosine Kinases / metabolism
Chemical
Reg. No./Substance:
0/Antigens, Neoplasm; EC 2.7.10.1/Protein-Tyrosine Kinases; EC 2.7.10.1/anaplastic lymphoma kinase

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